{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:07:29Z","timestamp":1790672849682,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,9]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To investigate the current status of presenteeism and its associated factors among rotating nurse managers in Western China and to provide insights for nursing practice.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A cross\u2010sectional study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A convenience sampling method was used. The questionnaire was distributed through nursing management departments and professional contacts across 15 secondary and tertiary general hospitals in Western China, and 97 eligible nurse managers with recent rotation experience completed the survey. Data were collected using a general information questionnaire, the Stanford Presenteeism Scale\u20106 (SPS\u20106), and the Work Limitations Questionnaire (WLQ). Associations with SPS\u20106 scores were examined using univariate analysis, correlation analysis, and multiple linear regression. The number of rotations was treated as a categorical predictor, and a sensitivity analysis was additionally performed by adjusting for years as a nurse manager as a theoretically relevant covariate.<\/jats:p>\n <\/jats:sec>\n \n Data Sources<\/jats:title>\n The questionnaire was distributed across 15 secondary and tertiary general hospitals in Western China in 2025, and data from 97 eligible rotating nurse managers were included in the analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean SPS\u20106 score among the 97 rotating nurse managers was 16.22\u2009\u00b1\u20095.22, with higher scores indicating greater health\u2010related productivity impairment. Univariate analysis showed significant differences in SPS\u20106 scores according to hospital level, rotation frequency, health status, perception of the rotation system, and informed consent prior to rotation (all\n p<\/jats:italic>\n \u2009<\u20090.05). Correlation analysis showed a weak positive correlation between physical demands and SPS\u20106 scores (\n r<\/jats:italic>\n \u2009=\u20090.228,\n p<\/jats:italic>\n \u2009<\u20090.05). In the primary multiple linear regression model, health status (\n B<\/jats:italic>\n \u2009=\u20092.907, 95% CI: 0.725\u20135.089,\n p<\/jats:italic>\n \u2009=\u20090.010), perception of the rotation system (\n B<\/jats:italic>\n \u2009=\u20092.189, 95% CI: 0.197\u20134.181,\n p<\/jats:italic>\n \u2009=\u20090.032), and informed consent prior to rotation (\n B<\/jats:italic>\n \u2009=\u20092.977, 95% CI: 1.057\u20134.897,\n p<\/jats:italic>\n \u2009=\u20090.003) were significantly associated with SPS\u20106 scores. Hospital level, physical demands, and the individual rotation\u2010frequency categories were not significantly associated with SPS\u20106 scores in the multivariable model. The model explained 38.0% of the variance (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.431, adjusted\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.380;\n F<\/jats:italic>\n \u2009=\u20098.345,\n p<\/jats:italic>\n \u2009<\u20090.001). The main findings remained consistent in the sensitivity analysis after additional adjustment for years as a nurse manager.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Health status, perception of the rotation system, and informed consent prior to rotation were independently associated with SPS\u20106 scores among rotating nurse managers. Given that higher SPS\u20106 scores indicate greater health\u2010related productivity impairment, these findings suggest that both health\u2010related and organizational factors are relevant to presenteeism in this population. Given the cross\u2010sectional design, the observed associations should not be interpreted as causal relationships.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and\/or Patient Care<\/jats:title>\n The findings highlight the importance of considering nurse managers' health status and organizational factors related to the rotation process. Healthcare institutions may consider strengthening communication, participation, and organizational support during nurse manager rotation.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n This study provides evidence on presenteeism and its associated factors among rotating nurse managers. The findings may inform the development and refinement of organizational support and rotation\u2010management practices for nurse managers.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.<\/jats:p>\n <\/jats:sec>\n \n No Patient or Public Contribution<\/jats:title>\n No patients or members of the public were involved in the design, conduct, reporting, or dissemination of this study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nop2.70817","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:55:56Z","timestamp":1788850556000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Presenteeism and Its Associated Factors Among Rotating Nurse Managers: A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"13","author":[{"given":"Li","family":"Wan","sequence":"first","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Chengdu University Affiliated Hospital Chengdu Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7006-0865","authenticated-orcid":false,"given":"Tianlan","family":"Li","sequence":"additional","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5611-8006","authenticated-orcid":false,"given":"Yanfei","family":"Ma","sequence":"additional","affiliation":[{"name":"Mianyang Central Hospital, School of Medicine University of Electronic Science and Technology of China Mianyang Sichuan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-02762-1"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/ocp0000056"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13055"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/ijoem.ijoem_354_21"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580231159318"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02253-9"},{"key":"e_1_2_14_8_1","first-page":"54","article-title":"Development of the Chinese Version of the Work Limitations Questionnaire","volume":"12","author":"Dong X. 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